QPP Tip of the Month: Consider Virtual Group Participation in 2020
The election window to sign up as part of a Virtual Group for performance year (PY) 2020 begins October 1st. If you are part of a small-group practice of 10 or fewer eligible clinicians (EC), or work as an individual practice, you may qualify to participate as part of a Virtual Group under MIPS in PY 2020. Virtual Groups allow smaller practices to band together regardless of geographic location, opening an opportunity for such practices to be scored under a larger patient pool (which can improve their ability to reliably measure against a benchmark) and to share resources with one another. Ideally, practices join a Virtual Group to gain access to resources or patient cases previously inaccessible, increasing their ability to “optimize participation” under MIPS and achieve a better overall performance score. Notably, prior to joining a Virtual Group it is important to consider the strengths and weaknesses of partnering practices. Virtual Groups under MIPS are scored as one participating entity—this means that all participating practices under a Virtual Group will receive the same MIPS performance score for PY 2020 (and, consequently, will all receive the same payment adjustment in 2022).
If you choose to enter PY 2020 as part of a Virtual Group with other participating practices, you will need to perform the following actions during the 2019 election window (October 1st through December 31st, 2019):
For further information about Virtual Group participation, see the Virtual Groups Overview resource available on PAI’s QPP Resource Center, as well as CMS’s 2020 Virtual Groups Toolkit.